ADVANCED CARE PROVIDER LLC NPI 1508133554

NPI Information

NPI: 1508133554
Provider Name: ADVANCED CARE PROVIDER, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3116 MARTIN LUTHER KING JR BLVD
DALLAS, TX
ZIP 75215
Phone: (214) 956-6995
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ADVANCED CARE PROVIDER, LLC is a family nurse practitioner in Dallas, TX. ADVANCED CARE PROVIDER, LLC NPI is 1508133554. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3116 MARTIN LUTHER KING JR BLVD
DALLAS, TX
ZIP 75215-414
Phone: (214) 956-6995

The provider's authorized official is Eric R Naifeh .
The authorized official title is Ceo and has the following contact phone number (214) 956-6995.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 11/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	774559	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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